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Home My WebLink About1730 Yada Pl; ; CBRA2018-0056; PermitPermit Print Date: 10/30/2019 Job Address: {city of Carlsbad Permit No: CBRA2018-0056 Permit Type: Parcel No: 1730 Vada Pl BLDG-Associated Permit Resi 1562206000 Work Class: Lot#: Single Family Detached 7 Status: Applied: Closed -Finaled 03/13/2018 04/17/2019 Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: $571,865.52 1 4.00 VADA FARM Reference #: DEV02058 Construction Type: VB Bathrooms: 3.50 Orig. Plan Check#: PC2017-0048 Plan Check#: Issued: Permit Fina led: Inspector: MColl Final Inspection: 10/30/2019 10:00:00A Description: VADA FARM: PHASE 1 // LOT 7 // PLAN 3BR // 3,527 SF// 175 SF PATIO// 689 SF GARAGE// 128 SF PORCH Applicant: MARY NETTLES 5927 Priestly Dr, 110 Carlsbad, CA 92008-8800 760-918-2829 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Owner: TRUSTY ADA FAMILY TRUST 03-12-90 1835 Buena Vista Way CARLSBAD,CA 92008 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PARK IN-LIEU FEES SF DETACHED & DUPLEX: NW PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL PUBLIC FACILITIES FEES -outside CFO SB1473 GREEN BUILDING STATE STANDARDS FEE SDCWA SYSTEM CAPACITY CHARGE 3/4" Displacement SEWER CONNECTION FEE {General Capacity all areas) STRONG MOTION-RESIDENTIAL SWPPP INSPECTION FEE TIER 1-Medium BLDG SWPPP PLAN REVIEW FEE TIER 1-MEDIUM TRAFFIC IMPACT Residential Single Fam. Outside CFO WATER METER FEE 1" Displacement (P) WATER SERVICE CONNECTION FEE 3/4" DISPLACEMENT (P) WATER TREATMENT CAPACITY CHARGE 3/4" Displacement Total Fees: $48,523.56 Total Payments To Date: $48,523.56 Contractor: CALIFORNIA WEST CONSTRUCTION INC 5927 Priestly Dr, 110 Carlsbad, CA 92008-8800 760-918-6768 Balance Due: $0.00 $2,253.00 $1,450.93 $96.00 $170.00 $110.00 $7,649.00 $224.00 $20,015.29 $23.00 $5,267.00 $960.00 $74.34 $246.00 $56.00 $3,390.00 $282.00 $6,111.00 $146.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov PERMIT INSPECTION HISTORY REPORT (CBRA2018-0056) Permit Type: BLDG-Associated Permit Residential Application Date: 03/13/2018 Owner: Work Class: Single Family Detached Issue Date: 04/17/2019 Subdivision: Status: Closed -Finaled Expiration Date: 04/27/2020 Address: IVR Number: 10092 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector October 30, 2019 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Electrical Final BLDG-Fire Final 107962-2019 Checklist Item FIRE-Building Final COMMENTS No superintendent on site. Job office locked. See card for pick up AFCI, GFCI, T-24 ok. CO and Smoke detectors ok. Scheduled COMMENTS Felix Salcedo TRUST YADA FAMILY TRUST 03-12-90 1730 Yada Pl Carlsbad, CA 92008 Re inspection Complete Passed No Yes No Yes Yes Yes Incomplete Passed No Page 4 of 4 PERMIT INSPECTION HISTORY REPORT (CBRA2018-0056) Permit Type: BLDG-Associated Permit Residential Application Date: 03/13/2018 Owner: Work Class: Single Family Detached Issue Date: 04/17/2019 Subdivision: Status: Closed -Finaled Expiration Date: 04/27/2020 Address: IVR Number: 10092 Scheduled Actual Date Start Date Inspection Type Inspection No, Inspection Status Primary Inspector Checklist Item BLDG-Building Deficiency 10107/2019 10/0712019 BLDG-Electric Meter 106638-2019 Release Checklist Item BLDG-Building Deficiency 10/17/2019 10/17/2019 BLDG-Gas Meter Release 107857-2019 1012512019 10/2512019 BLDG-Final Inspection 10/28/2019 10128/2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 108728-2019 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency 108914-2019 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency 10/29/2019 10/29/2019 BLDG-16 lnsulatlon 109096-2019 Checklist Item BLDG-Final Inspection 10/30/2019 10/30/2019 BLDG-Final Inspection October 30, 2019 BLDG-Building Deficiency 109097-2019 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency 109455-2019 COMMENTS No superintendent on site. Job office locked. Passed Michael Collins COMMENTS EMR emailed to SDGE Passed Peter Dreibelbis COMMENTS Failed Michael Collins COMMENTS See card for pick up No superintendent on site. Job office locked. Partial Pass Michael Collins COMMENTS See card for pick up No superintendent on site. Job office locked. Cancelled Michael Collins COMMENTS Partial Pass Michael Collins COMMENTS No superintendent on site. Job office locked. See card for pick up Passed Michael Collins TRUST YADA FAMILY TRUST 03-12-90 1730 Yada Pl Carlsbad, CA 92008 Reinspection Passed No Passed Yes Passed No Reinspection Passed No No Reinspection Passed No No Reinspection Passed No Reinspection Passed No No Complete Complete Complete Complete Incomplete Complete Incomplete Complete Page 3 014 PERMIT INSPECTION HISTORY REPORT (CBRA2018-0056) Permit Type: BLDG-Associated Permit Residential Application Date: 03/13/2018 Owner: TRUST YADA FAMILY TRUST 03-12-90 Work Class: Single Family Detached Issue Date: 04/17/2019 Subdivision: Status: Closed -Finaled Expiration Date: 04/27/2020 Address: 1730 Yada Pl Carlsbad, CA 92008 IVR Number: 10092 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 07/31/2019 07/31/2019 BLDG-16 lnsulatlon 099271-2019 Failed Michael Collins Relnspection Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No 08/01/2019 08/01/2019 BLDG-16 Insulation 099373-2019 Passed Michael Collins Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No BLDG-Building Deficiency Yes 08/07/2019 08/07/2019 BLDG-17 Interior 099977-2019 Failed Michael Collins Reinspection Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-18 Exterior 099976-2019 Failed Michael Collins Reinspection Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency No 08/08/2019 08/08/2019 BLDG-17 Interior 100214-2019 Failed Michael Collins Reinspection Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready, need scrap out No 08/09/2019 08/09/2019 BLDG-17 Interior 100350-2019 Passed Peter Dreibelbis Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready, need scrap out Yes BLDG-18 Exterior 100349-2019 Passed Peter Dreibelbis Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 10/03/2019 10/03/2019 BLDG-Final 106411-2019 Failed Michael Collins Reinspection Complete Inspection October 30, 2019 Page 2 of4 --------. PERMIT INSPECTION HISTORY REPORT (CBRA2018-0056) Permit Type: BLDG-Associated Permit Residential Application Date: 03/13/2018 Owner: TRUST YADA FAMILY TRUST 03-12-90 Work Class: Single Family Detached Issue Date: 04/17/2019 Subdivision: Status: Closed -Finaled Expiration Date: 04/27/2020 Address: 1730 Yada Pl Carlsbad, CA 92008 IVR Number: 10092 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 04/18/2019 04/18/2019 BLDG-SW-Pre-Con 089252-2019 Passed Paul Burnette Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency No 05/06/2019 05/06/2019 BLDG-21 090943-2019 Passed Tim Frazee Complete Underground/Underf loor Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 05/10/2019 05/10/2019 BLDG-11 091519-2019 Passed Tim Frazee Complete Foundation/Fig/Pier s (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 06/10/2019 06/10/2019 BLDG-14 094214-2019 Partial Pass Michael Collins Reinspection Incomplete Frame/Steel/Bolling/ Welding (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency 2nd floor, floor sheathing Yes 07/01/2019 07/01/2019 BLDG-15 096159-2019 Failed Michael Collins Reinspection Complete Roof/ReRoof (Patio) Checklist Item COMMENTS Passed BLOG-Building Deficiency Dbl. ck. truss packages No 07/03/2019 07/03/2019 BLDG-15 096548-2019 Passed Michael Collins Complete Roof/ReRoof (Patio) Checklist Item COMMENTS Passed BLDG-Building Deficiency Dbl. ck. truss packages No BLDG-Building Deficiency Sheathing nailing ok. Provide hanger call Yes out update 07/15/2019 07/15/2019 BLDG-13 Shear 097 453-2019 Passed Michael Collins Complete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 07/26/2019 07/26/2019 BLDG-84 Rough 098831-2019 Passed Paul Burnette Complete Combo(14,24,34,44) October 30, 2019 Page 1 of4 ~~--~ CITY O F CARLSBAD Building Division INSPECTION 'RECORD P-H NSPECTION RECORD CARD WITH APPROVED lcT\ CBRA2018-0056 1730YADA PL VADA FARM: PHASE 1 // LOT 7 // PLAN 3BR // 3.527 SF// 175 SF PATIO II 689 SF GARAGE// 128 SF PORCH )NS MUST BE KEPT ON THE JOB -~LL BEFORE 3:00 pm FOR NEXT WORK DAY INSPECTION DEV02058 1562206000 0 FOR BUILDING INSPECTION CA.LL: 760-602-2725 PC2017-0048 4/1812018 OR GO TO: www.Carlsbadca.gov/Building AND CLICK-ON ,. "Request Inspection" • . CBRA2018-0056 DATE: -\2-\ If "YES" is checked below that Division's approval is required rior to re uesti!l~ a Final Building Inspection. If you have any questions please call the applicable divisions at the phone numbers provided below. After all required approvals are signed off-fax to 760-602-8560, email to bid ins ections@carlsbadca. ov or bring In a COPY of this card to: 1635 Faraday Ave., Carlsbad. IF MARKED "YES#, IT IS REQUIRED PRIOR TO ANY CONSTRUCTION STORM WATER PRECON MEETING REQUIRED 760-602-2725 Allow 24 hours IF MARKED "YES#, APPROVAL REQUIRED PRIOR TO REQUESTING BUILDING Fire Prevention 760-602-4660 ~ Allow 48 hours Planning/Landscape 760-944-8463 Allow 48 hours 760-438-3891 Call before 2 pm #12 REINFORCED STEEL #34 ROUGH ELECTRIC/ EV CHARGER #66 MASONRY PRE GROUT #33 LEC SERVICE #32OTEMPORARY GROUT D WALL DRAINS #35 PHOTO VOLTAIC TILT PANELS #38 SIGNS #11 POUR STRIPS BLDG-FINAL ---------+------+-----#11 COLUMN FOOTINGS CODE# MECHANICAL #14 #41 UNDERGROUND DUCTS & PIPING #15 ROOF SHEATHING #44 0 DUCT & PLENUM 0 REF. PIPING #13 EXT. SHEAR PANELS #43 HEAT-AIR COND. SYSTEMS #16 INSULATION #18 EXTERIOR LATH #17 #82 DRYWALL,EXTLATH, GAS TES (17,18,23) #83 ROOF SH EATING, EXT SHEAR (13,15) D SEWER & BL/CO D PL/CO #84 FRAME ROUGH COMBO (14,24,34,44) UNDERGROUND ASTE [XWTR #24 TOP OUT D WASTE D WTR #27 TUB & SHOWER PAN #23 D GAS TEST D GAS PIPING A/S UNDERGROUND VISUAL #25 WATER HEATER A/S UNDERGROUND HYDRO #28 SOLAR WATER A/S UNDERGROUND FLUSH BLDG-FINAL A/S OVERHEAD VISUAL CODE# POOLS Date Ins ector A/S OVERHEAD HYDROSTATIC #51 POOL EXCAV / STEEL A/S FINAL #52 PLUMBING F / A ROUGH-IN #53 ELEC /CONDUIT/WIRING F/A FINAL EQUIPOTENTIAL BOND FIXED EXTINGUISHING SYSTEM ROUGH-IN PREPLASTER / FENCE/ ALARMS FIXED EXTING SYSTEM HYDROSTATIC TEST #57 GUNITE FIXED EXTINGUISHING SYSTEM FINAL BLDG-FINAL MEDICAL GAS PRESSURE TEST MEDICAL GAS FINAL REV 9/17 Date Date Date COPYOFCARD REQUIRED Inspector Ins ector SEE BACK FOR SPECIAL NOTES GEOSOILS, INC. W.O.: 7377-C-SC Geotechnlcal-Coastal-Geologic -Ernironmental DATE: _____ 04_/-22/_1_9 ___ _ NAME: TODD ------------HOURS: 2.5 ------------ FOOTING TRENCH OBSERVATION SUMMARY CLIENT NAME: CAL-WEST PROJECT NAME: VADA ------------- LOCATION/TRACT: VADA PL, CARLSBAD, CALIF UNIT/PHASE/LOTS: LOTS 1,2,7,8,AND 12 ---------------------':..:..-'-'-------------------- REFERENCED GEOTECHNICAL REPORT: 6927-A-SC DATED AUGUST 3, 2015 OBSERVATION SUMMARY TG INITIALS -------04/22/19 DATE ------- TG INITIALS -------04/22119 DATE ------- TG INITIALS -------04/22/19 DATE ------- TG INITIALS ------- 04/22/19 DATE ------- A representative of GeoSoils, Inc. observed on site soil and footing conditions. son conditions in the trench are generally free of loose soil and debris, non-yielding and unWorm, and plumb; and are in general conformance with those indicated in the geotechnical report. A representative of GeoSolls, Inc. obseived and reviewed footing excavation depth/width. Footing excavations generally extend to proper depth and bea~ng strata, and are in general conformance with recommendations of the geotechnical report. A representative of GeoSoils, Inc. reviewed footing setbacks from slope fece (if applicable). The setback was in general accordance with the recommendations of the geotechnical report. CONSULT THE PROJECT STRUCTURAL ENGINEER ABOUT GRAVEL FROM UTILITY LINE ADJACENT NE CORNER OF LOT 12. NOTES TO SUPERINTENDENT/FOREMAN 1. Footing excavations should be cleaned of loose debris and thoroughl_y moistened just prior to placing concrete. 2. Based on expansion potential of underlying soils, presoaklng of soil below slabs may be recommended. Consult the geotechnical report for presoaking recommendations. We note that clayey soils may take an extended period time for such, and the contractor should schedule accordingly. 3. In the event of a site change subsequent to our footing observation and prior to concrete placement (i.e. heavy rain, etc.), we should be contacted to perform addltional site observations and/or testing-. 4. This memo does not confirm the minimum footing dimension as required by the project structural engineer's design, if different from the geotechnical report. NOTES TO BUILDING INSPECTOR Soll compaction test results, as well as depth of fill, relative compaction. bearing values, corrosivlty, and soil expansion index test results are contained in the As~Graded Geotechnical or Final Compaction Report provided at the completion of grading. DIGITAL DELIVERY: JIM HALL Representative of GeoSoils, Inc. b~A,lnc. land planning, civil engineering, surveying March 10, 2019 w.o. 944-1289-600 Mr. Tim Frazee CITY OF CARLSBAD, Building Inspection Division 1635 Faraday Avenue Carlsbad, CA 92008 ROD BRADLEY, Urban Planner RONALD L. HOLLOWAY, Civil Engineer RE: BUILDING FORM VERIFICATION FOR LOTS 1, 2, 7 AND 8 OF THE YADA FAMILY FARM SUBDIVISION, CT 15-11 Dear Mr. Frazee: This Jetter is to attest that BHA, Inc. has staked the locations for the house construction on the above-mentioned lots. We have checked the locations of the building forms of the proposed houses and found the horizontal and vertical locations to conform to the grading plans prepared by our office. If you have any questions regarding this matter, please contact our office. Sincerely, bl-iA, Inc. -'fL_-~ Ronald L. Holloway Senior Vice President RCE29271 cc: Jim Hall-California West Communities K:\Clvil 3D\1289\PROD\Survey\Pad-Forrn Ccris\[orms\CT 15-1 I_Lots 1-2-7-8 bldg-form•verification.wpd 5115 Avenida Encinas, Suite L o Carlsbad, California 92008-4387 o (760) 931-8700 o FAX (760) 931-7780 I Construction Testing & Engineering, Inc. Inspection I Testing I Geotechnical I Environmental & Construction Engineering I Civil Engineering I Surveying INSPECTION REPORT PAGE OF GTE JOB NO. IC I'-/ l · r 4 PROJECT NAME '( ,~-· --tgJ:w I ADDRESS f ... ~ I l r I r (' l' ARCHITECT , L. INSPECTION L □ CONCRETE □ REINF. STEEL □ MASONRY REPORT NO. MATERIAL IDENTIFICATION CONC. MIX NO. & lb/in2 GROUT MIX NO. & lb/in2 MORT AR TYPE & lb/in2 ENGINEER □ P.T. CONCRETE REINF. STEEL GR./SIZE -, '-/;(/ ---~~- CONTRACTOR ( r. I L □ FIELD WELDING STRUCTURAL STEEL OTHER -t \ I '1 □ SHOP WELDING HIGH-STRENGTH BOLT ------ INSPECTION DATE .-L0 Ii □ BATCH PLANT I I PLAN FILE/OTHER □ EXP.ANCHOR MASONRY BLOCK OTHER BLDG. PERMIT/OTHER 121 OTHER l I MATERIAL SAMPLING 0 CONCRETE O MORTAR O GROUT 0 FIREPROOFING O MASONRY BLOCK · 0 REINFORCING STEEL □ STRUCTURAL STEEL 0 BOLTS O OTHER l INSPECTIONS PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS PLEASE NOTE ANY RE-INSPECTION, TESTING, OR OTHER _PROJECT ISSUES. < • -,, -ti , r -l e r, .\,JC.1 r . r. ,-IJ ., (• (-c.. ,,., ... ' L . I ,-r -I \ (' I -. I ..-,; .j Ji.' I /.(,4ar' ( -I ti -' 17~ ?' 1 ,-( ( I u, r l , -l ' -,, ,, f' ,. /7 ( L . -f ,, r (... Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications. PRINTED NAME --,; \./ C. , r. r r::.. , , , c_ CERTIFICATION NO. • 1_ .¥ r7., --==------''-'--------SIGNATURE --'--_;_--=---c==----=='--- .JI 1441 Montiel Road, Suite 115 I Escondido, CA 92026 Ph (760) 746-4955 I Fax (760) 746-9806 I www.cte-inc.net bl-tA, Inc. land planning, civil engineering, surveying March 10, 2019 w.o. 944-1289-600 Mr. Tim Frazee CITY OF CARLSBAD, Building Inspection Division 1635 Faraday Avenue Carlsbad, CA 92008 ROD BRADLEY, Urban Planner RONALD L. HOLLOWAY, Civil Engineer RE: BUILDING FORM VERIFICATION FOR LOTS 1, 2, 7 AND 8 OF THE YADA FAMILY FARM SUBDMSION, CT 15-11 Dear Mr. Frazee: This letter is to attest that BHA, Inc. has staked the locations for the house construction on the above-mentioned lots. We have checked the locations of the building forms of the proposed houses and found the horizontal and vertical locations to conform to the grading plans prepared by our office. If you have any questions regarding this matter, please contact our office. Sincerely, bl-tA, Inc. 14---~ Ronald L. Holloway Senior Vice President RCE29271 cc: Jim Hall-California West Communities K:\Civil 3D\1289\PROD\Survey\Pad-Form Certs\forms\CT 15-1 l_Lots 1-2-7-8 bldg-form-verification.wpd 5115 Avenida Encinas, Suite L o Carlsbad, California 92008-4387 ° (760) 931-8700 ° FAX (760) 931-7780 < (city of Carlsbad CERTIFICATION OF SCHOOL FEES PAID B-34 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior to issuing a building permit. The City will not issue any building permit without a completed school fee form. Project Name ___,_Y,:,A,,,Dce:A!...F'-'A=.,R"'M,__ ____________________ _ Building Permit Plan Check Number PC2017-0048 II CBRA2018-0056 & CBRA2018-0077 -LOT 7 Project Address: 1730 & 1732 YADA PLACE A.P.N _1 ... s.,.6:::.-2..,2..,0::s-6,,,0c:,-O,.,,O,_ ___________________ _ Project Applicant CARLSBAD BUENA VISTA 12, LP (Owner Name) Project Description: _1;...;S.,_F-=D'-+--'1-'A-"D=-U=------------------------ Building Type Residential: 2 NEW DWELLING UNIT(S) 3,527 Square Feet of Living Area in New Dwelling/s Second Dwelling Unit: 358 Square Feet of Living Area in SOU Residential Additions: Net Square Feet New Area Commercial/Industrial: Net Square Feet New Area City Certification of Applicant Information, 51-iay Evew Date November 30, 2018 SCHOOL DISTRICTS WITHIN THE CITY OF CARLSBAD [81 Carlsbad Unified School District 6225 El Camino Real D Vista Unified School District D San Marcos Unified School District Carlsbad CA 92009 (760-331-5000) LJ Encinitas Union School District- By appointment only 101 South Rancho Santa Fe Rd Encinitas, CA 92024 1760-944-4300 x1166l 1234 Arcadia Drive 2 5 5 P i c o A v e S t e . 1 O O Vista CA 92083 (760-726-2170) xt San Marcos, CA 92069 (760-290-2649) 2222 Contact: Katherine Marcelja (By Appl. Only) LJ San Dieguito Union High School District-By Appointment Only 684 Requeza Dr. Encinitas, CA 92024 (760-753-6491 X 5514) Certification of Applicant/Owners. The person executing this declaration ("Owner") certifies under penalty of pe~ury that (1) the information provided above is correct and true to the best of the Owner's knowledge, and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect, and that (2) the Owner is the owner/developer of the above described project(s), or that the person executing this declaration is authorized to sign on behalf of the Owner. Signature: _i:/---l.--'-0-l---'.'---Q};-=tc..=2-"'-,~V"-----Date: B-34 Page 1 of 2 Rev. 03/09 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school district( s)) *************************************************************************************************** THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED. SCHOOL DISTRICT: The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder, or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District. The City may issue building permits for this project. SIGNATURE OF AUTHORIZED SCHOOL DISTRICT OFFICIAL TITLE NAME OF SCHOOL DISTRICT DATE PHONE NUMBER J;) <1 , B, . 10 = •::,c-, C , kw 4 J..O le, G'-->-.. ""'-~.\ ""''°" ,"2:) "S, '-P'4'' ,r -, Y\\,+ :v\ck/xd CARLSBAD UNIFIED SCHOOL DISTRICT 6225 EL CAMINO REAL CARLSBAD, CA 92009 11-1 <;--:...1 ~ '::1 lo(\ 3 3 I -5;:::0C)U B-34 Page 2 of 2 Rev. 03/09